West Nile virus infection and diplopia: a case report and review of literature

Udip Dahal,1 Neville Mobarakai,1 Dikshya Sharma,2 Bandana Pathak11Department of Medicine, Staten Island University Hospital, Staten Island, New York, NY, USA; 2Department of Medicine, Nepalgunj Medical College, Banke, NepalAbstract: West Nile virus is a neurotropic virus transmitted to humans via an infected mosquito bite. The increase in the incidences and fatalities of West Nile virus disease has made West Nile virus an important pathogen. Here we describe a case of a 65-year-old man with fever and diplopia presenting to the emergency department during a fall season and who was later diagnosed with West Nile virus infection. Diplopia is an uncommon manifestation of West Nile virus and recognition of the different modes of presentation, especially the uncommon ones like diplopia, will aid in the diagnosis of this emerging infectious disease.Keywords: West Nile virus, diplopia, ocular manifestations, infectious disease, Flavivirida